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4064 Amethyst Lane - Zoning Permit r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ I For Office Use I 401~ I y~ ``7 I ~ Permit#: / C City of Ea~d I I 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5685 Fax: (651) 675-5694 Email: plan n1 ng(D-cityofeagan.com ZONING PERMIT APPLICATION ❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. PROPERTY Site Address: (1(e- A rule- INFORMATION Owner Name: Cry L h G~~ CC -6) Name:; De Pik cc0 Phone: s o~ -7/S'-dam/y Address: s7- City/State/Zip: Za /Lf'C/ ,r/~2oZ CONTACT Applicant Signature: Date: Email address: G4-Pde l adQ~ 6,d , ❑ Retaining Wall <4 feet ❑ Driveway )Z Other: TYPE OF ❑ Patio ❑ Sport Court WORK ❑ Sidewalk ❑ Fence Description of work: ~0 X / S kl~ PLANNING Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks, etc. Approved / enied Date: r = Staff: t < < }'tCC../- .,r !69e A. Revised Plans Approved: Yes / No Date: Staff: ENGINEERING Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right-of-Way, etc. Approved / Denied Date: Staff: Notes: Revised Plans Approved: Yes / No Date: Staff: COMMENTS CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org G:\Building Inspections\PERMIT APPLICATIONS\2011\2011 Permit Applications /0 7 -71q 7 27 to ooh dtiouKO~e,~ c.~E-,l1 o~ t740~~ /y~ I I ~ '4~ Ga}zye 62 ~n C ✓y' O✓ ~ la' i1 ;t r ~ L Z ~ i ~xr 5trJ 8/ak~-oJ0 C ✓ r t , w, /go s ~ ~y .